Moderation

The dose makes the poison” – attributed to Paracelsus , Swiss physician and chemist from about 500 years ago. The full quote: “All things are poison and nothing is without poison; only the dose makes a thing not a poison.” Even water and oxygen are poisonous in too large a dose. (1)

Modern chemicals are leading to different types of health problems than the classic understanding of toxicity which considers a substance toxic at the dose that would lead to death or cancer or a visible birth defect. One of the examples provided is BPA a chemical found in plastics and now in our environment which is considered safe in the traditional sense of toxicity – it doesn’t lead to cancer or death at small amounts however it may be acting as an endocrine disrupting chemical at very small doses. (1)

BPA acts as an estrogen receptor activator – estrogen is one of the main female hormones. At what dose of birth differences will society be concerned about the health of male infants? Endocrine disruptors including BPA are associated with differences in male sexual organs at birth. (2)

Returning to a research finding mentioned in the Vaping series (part 1, 2, 3), an experimental dose labeled Acute was 20 minutes of vape exposure each day for one week, and an experimental dose labeled chronic was 20 minutes of vape exposure for 3 weeks. (part 3, ref 4:17) Compared to what might be typical for a human both of those doses are pretty low. A human might smoke a half a pack of cigarettes per day – ten cigarettes taking minimally 5-10 minutes to smoke. Other humans might smoke a pack or two or even three packs per day.

A few humans might only smoke one or two cigarettes once a week during an evening out but that is less typical than the daily half a pack smoker. There may be some health benefits however in the smoking one or two during an evening out, if the time is going to be spent in a smoke filled environment. The lungs will increase protective layers of mucous to reduce entry of toxins when there is smoke exposure. Avoiding the smoke exposure altogether would be safest however.

Chronic cannabis smokers develop lung tissue that is less typical of lung tissue that is not chronically exposed to smoke. Emphysema was not associated with cannabis smoking at a rate much different than not smoking while tobacco smoking with or without use of cannabis was associated fairly closely for macroscopic emphysema risk. (3) Coughing, asthma, bronchitis may still remain risks from chronic smoking of cannabis. Infectious risks may also occur from use of water pipes or other types of pipes that aren’t cleaned regularly. (4)

Cleanliness and moderation – both are valuable. Moderation in all things is also valuable. The dose makes the poison whether smoking tobacco or cannabis, drinking water or alcohol, watching TV or playing video games or surfing the internet, even exercise can become a health risk if done excessively or in dangerous settings. Building up physical skills gradually can make exercise safer in various settings however building up a tolerance to some drugs or activities can just leave a person needing larger amounts to achieve the same dopamine excitement.

Dopamine is the main brain neurotransmitter for feelings of reward. Most major addictive substances cause an increase in dopamine directly (cocaine) or indirectly (most of the rest of common addictive substances) . See: Impacts of Drugs on Neurotransmission, (5), (7) It certainly would take less alcohol than water to harm someone or kill and tolerance can also develop to alcohol so more is needed to feel ‘drunk.’ Cocaine tolerance can build up to a point where the dopamine receptors no longer respond to other rewarding stimuli and the person may no longer feel pleasure except with increasing amounts of cocaine/crack.

In small amounts alcohol can have medicinal effects and reduce the stress of an emotional shock or physical trauma. That medicinal amount may be as small as a third of a typical serving size of alcohol, or up to one to two alcoholic beverage servings per day, for a smaller or larger adult. (G11: Alcohol) Often though, the problem is being able to stop at one or two alcoholic beverages as author James Thurber stated eloquently:

One martini is all right. Two are too many, and three are not enough.”

― James Thurber (died November 2, 1961)

Having an elevated stress level over time may make people more susceptible to addictive behavior. The stress response can become more likely to occur in the future when it has been chronically active in the past, as calming GABA activity is inhibited by the increased activity of dopamine receptors that occurs with stress or addictive behaviors. (12, 13, 14)

How much TV is too much TV? I heard recently on the radio that people in the U.S. spend on average 7000% more time watching TV than working on their finances – so we’re all financially stable then? Or most of us are behind on balancing the checkbook and planning for retirement? The number seems enormous, 7000%, in hours it means we are spending about 70 hours watching TV for every one hour spent looking into our financial health. See: Americans Spend 7000% more time watching TV than they do on their finances, by Brett Arends, (MarketWatch.com)

How much cellphone use is too much cellphone use? (8) That may involve more than dopamine over-stimulation. Chronic exposure to electromagnetic fields including from WiFi and TV sets may be increasing negative health symptoms beyond an addictive use of the electronic devices. Insurance company white papers have deemed the idea of 5G internet in urban areas as “High risk” with unknown health effects. (9) More than 180 scientists have appealed to the European Union to use caution regarding approving 5G installations which would need to be placed almost every block for reception rather than the current cellphone towers which are larger and can be placed at a farther distance from internet users. (10)

The effects of exposure to electromagnetic fields seems to be accumulative and infertility may result in just ten to fifteen years of exposure. Internet use throughout schools from grade school through highschool and college would be ten to fifteen years of exposure. How much infertility is too large a dose of infertility for a population to survive?

Research is limited and more is available about male infertility than effects on female fertility. Increased cellphone use (self-reported) was associated with decreased sperm count, sperm motility, viability and morphology (shape). Cell phone use was grouped into, No use, less than 2 hours per day, 2-4 hours per day, and greater than 4 hours per day. The researchers questioned the number of hours reported for use, however it has become fairly common to have your smartphone with you at all times – and that category – 24 hours per day, seven days per week was not included – and would represent living in a community with 5G installations. (page 257, 11)

Good news – meditation can help reduce the stress response (15), and while it might not help balance your checkbook, it may be a more beneficial way to increase dopamine levels than shopping or TV watching. (16)

Stay tuned for part two – moderation is too large a topic to take in one dose.

Disclaimer: This information is provided for educational purposes within the guidelines of Fair Use. It is not intended to provide individual guidance. Please seek a health care provider for individualized health care guidance.

Reference List

  1. The Dose Makes the Poison Concept, Toxicity, chemicalsafetyfacts.org, https://www.chemicalsafetyfacts.org/dose-makes-poison-gallery/
  2. Sathyanarayana S, Beard L, Zhou C, Grady R. Measurement and correlates of ano-genital distance in healthy, newborn infants. Int J Androl. 2010;33(2):317–323. doi:10.1111/j.1365-2605.2009.01044.x https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2943951/
  3. Aldington S, Williams M, Nowitz M, et al. Effects of cannabis on pulmonary structure, function and symptoms [published correction appears in Thorax. 2008 Apr;63(4):385]. Thorax. 2007;62(12):1058–1063. doi:10.1136/thx.2006.077081 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2094297/
  4. Marijuana “bong” pseudomonas lung infection: a detrimental recreational experience. Repirology Case Reports, Vol 6, Issue 2, Feb 2018, e00293 https://onlinelibrary.wiley.com/doi/full/10.1002/rcr2.293
  5. Impacts of Drugs on Neurotransmission, National Institute on Drug Abuse, drugabuse.gov, https://www.drugabuse.gov/news-events/nida-notes/2017/03/impacts-drugs-neurotransmission
  6. Brett Arends, Americans Spend 7000% more time watching TV than they do on their finances. marketwatch.com, Oct. 19, 2019 https://www.marketwatch.com/story/americans-spend-7000-more-time-watching-tv-than-they-do-on-their-finances-2019-10-18
  7. Yanofski J. The Dopamine Dilemma-Part II: Could Stimulants Cause Tolerance, Dependence, and Paradoxical Decompensation?. Innov Clin Neurosci. 2011;8(1):47–53. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3036556/
  8. De-Sola Gutiérrez J, Rodríguez de Fonseca F, Rubio G. Cell-Phone Addiction: A Review. Front Psychiatry. 2016;7:175. Published 2016 Oct 24. doi:10.3389/fpsyt.2016.00175 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5076301/
  9. 5G And The IOT: Scientific Overview Of Human Health Risks, Environmental Health Trust, https://ehtrust.org/key-issues/cell-phoneswireless/5g-networks-iot-scientific-overview-human-health-risks/
  10. EU 5G Appeal – Scientists warn of potential serious health effects of 5G. https://www.jrseco.com/european-union-5g-appeal-scientists-warn-of-potential-serious-health-effects-of-5g/
  11. Health Effects from Radiofrequency Eectromagnetic Fields, Report of the independent Advisory Group on Non-Ionising Radiation, (AGNIR report, April 2012) Documents of the Health Protection Agency, https://www.ices-emfsafety.org/wp-content/uploads/2014/11/AGNIR_report_2012.pdf
  12. Sinha R. Chronic stress, drug use, and vulnerability to addiction. Ann N Y Acad Sci. 2008;1141:105–130. doi:10.1196/annals.1441.030 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2732004/
  13. Beas BS, Wright BJ, Skirzewski M, et al. The locus coeruleus drives disinhibition in the midline thalamus via a dopaminergic mechanism. Nat Neurosci. 2018;21(7):963–973. doi:10.1038/s41593-018-0167-4 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6035776/
  14. Van Bockstaele EJ, Reyes BA, Valentino RJ. The locus coeruleus: A key nucleus where stress and opioids intersect to mediate vulnerability to opiate abuse. Brain Res. 2010;1314:162–174. doi:10.1016/j.brainres.2009.09.036 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3274960/
  15. Young SN. Biologic effects of mindfulness meditation: growing insights into neurobiologic aspects of the prevention of depression. J Psychiatry Neurosci. 2011;36(2):75–77. doi:10.1503/jpn.110010 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3044190/
  16. Kjaer TW, Bertelsen C, Piccini P, et al., Increased Dopamine Tone During Meditation-Induced Change of Consciousness. Cognitive Brain Research 13(2):255-9 · May 2002 https://www.researchgate.net/publication/11408344_Increased_Dopamine_Tone_During_Meditation-Induced_Change_of_Consciousness
  17. part 3, ref 4, Laube BL, Afshar-Mohajer N, Koehler K, et al. Acute and chronic in vivo effects of exposure to nicotine and propylene glycol from an E-cigarette on mucociliary clearance in a murine model. Inhal Toxicol. 2017;29(5):197–205. doi:10.1080/08958378.2017.1336585 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553614/

G3.2: Thinking flexibly may help against the negative effects of stress.

Chronic stress can damage the health of brain cells. Routines may help save energy for the brain but may also make it more difficult to change habits once the routine has been established.

Neuroplasticity refers to the connections and pathways that form between brain cells. Long term habits develop as routine nerve pathways between brain cells where an initial action may stimulate the rest of the routine habit. Having routines embedded in our memories may help to save us time when we’re performing routine activities like household chores or driving home from work but it may interfere when trying to replace an old habit with a new habit. Routines may save energy for the mind to wander to other thoughts while the familiar chore is being performed.

The ability to form new pathways in the brain may also help to reduce the negative effects of stress. (G3.1) Games that are designed to boost brain plasticity may simply be boosting our ability to take tests. 

When habits become an automatic part of life they can save energy by reducing the need to make minor decisions. Every decision or use of willpower that we perform throughout the day can deplete our mental energy and reduce our ability to resist making impulsive decisions. Isaiah Hankel describes a way to make habits that last by making smaller changes and attaching them to a routine that already exists. If you always brush your teeth each morning and want to be better about taking a vitamin supplement or medication every day attach the new habit to the old one by linking them consistently. Older research suggested it can take three weeks of consistency to build a new habit while more recent research suggests it may take closer to two months. For more information see Chapter 8: Automaticity, Scaling, and the Rise of Mental Loops, in the book by Isaiah Hankel, Ph.D. called The Science of Intelligent Achievement, (pp 52-58, G3.123).

More research is needed to better understand neuroplasticity and how we can change old habits by changing the old neural pathways. (G3.2) In the meantime learning new words has been found to stimulate reward pathways in the brain. And it was found that people with stronger connections between the two regions of the brain involved in the reward pathways were able to learn more words than people with weaker connections. (G3.3)

Poetry may activate the brain similarly to music by helping increase brain connectivity in a similar way to what occurs when someone is listening to or composing music. (G2.1)

Meditation & Mindfulness Training can help an overanxious brain.

Mindfulness Training can help increase awareness of the issues that may be exciting or infuriating, but at a wordless subconscious level so they may go unnoticed and lead to behaviors that don’t seem to have a obvious reason or cause: How Mindfulness Helped a Workplace Diversity Exercise: (12.22)

And other research suggests that meditation and having a sense of purpose in life may help reduce some of the negative effects of stress which include cellular changes associated with aging. (G3.4)

Communication or Assertiveness Training may help reduce stress by improving effectiveness of conversation and by increasing the likelihood of having pleasant exchanges rather than difficult ones.

Communication difficulties can lead to direct stress effects on the body that occur during the conversation, lack of oxygen itself from tensely holding the breath, talking too fast or crying, might also add to negative effects of oxidative stress.  Stress might also occur over time from the resulting lack of progress on the topic that was being discussed with difficulty instead of with clear exchange of each persons priorities, concerns, and goals.

Issues from our childhood with communication problems we observed in our parent’s or other caregiver’s conversation may show up in our own behaviors. Role playing in a group may help reveal where other people’s typical responses are different than what you might have responded yourself. Role playing can help provide a safe place to practice new communication techniques with people who understand the technique and that it is practice. The strategy is used in Family Systems Therapy but power struggles can be part of many types of relationships not just within families.

Training materials about equality within a conversation or within a relationship were developed for helping victims of domestic violence and batterers learn how to recognize problem behaviors within their communication and actions. The handouts may be helpful for most age groups as emotional manipulation or abuse of power and control can occur in many types of relationships not just between couples. Discussing the difference between equal exchanges in a conversation and unequal ones in a calm neutral setting may be helpful to prevent a difficult exchange from ever happening in the first place.

  • Power and Control and Equality Wheels  The Power and Control Wheel (I.21) was developed by the Domestic Abuse Intervention Programs (DAIP). (I.22) Manipulative behaviors are grouped into eight categories in the model. An additional Equality Wheel (I.23) was developed to help guide batterers and victims of emotional or physical abuse towards healthier ways to interact. It is grouped into eight equivalent categories with examples of healthier ways to interact with each other. Problems frequently can involve communication issues by both people in a relationship.

Crisis Hotlines and Resources:

  • U.S. National Suicide Prevention Hotline: Call 1-800-273-8255, Available 24 hours everyday. (I.16.suicidepreventionlifeline.org)
  • National Helpline: Substance Abuse and Mental Health Services Administration: “SAMHSA’s National Helpline, 1-800-662-HELP (4357), (also known as the Treatment Referral Routing Service), is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.”  (I.17.samhsa.org)
  • Rape, Abuse and Incest National Network, RAINN Hotline: 1-800-656-HOPE, (I.18.RAINN.org)
  • National Domestic Violence Hotline: 24/7 confidential support at 1−800−799−7233 or TTY 1−800−787−3224. (I.19.thehotline.org)
  • Child Welfare Information Gateway: a variety of toll-free hotline numbers for concerns involving the safety of children. (I.20)

See a healthcare provider for medical advice, diagnosis or treatment.

  • Disclaimer: Opinions are my own and the information is provided for educational purposes within the guidelines of fair use. While I am a Registered Dietitian this information is not intended to provide individual health guidance. Please see a health professional for individual health care purposes.
  • The Academy of Nutrition and Dietetics has a service for locating a nutrition counselor near you at the website eatright.org: (eatright.org/find-an-expert)

References:

  1. Don Joseph Goewey, Stress, the Brain and the Neuroscience of Successs, Huffingtonpost.com, Aug. 10, 2014, http://www.huffingtonpost.com/don-joseph-goewey-/stress-success_b_5652874.html (G3.1)
  2. Gary Stix, Neuroplasticity: New Clues to Just How Much the Adult Brain Can Change. Scientificamerican.com, July 14, 2014,  http://blogs.scientificamerican.com/talking-back/2014/07/14/neuroplasticity-new-clues-to-just-how-much-the-adult-brain-can-change/ (G3.2)
  3. P. Ripollés,  Marco-Pallarés, U. Hielscher, A. Mestres-Missé, C. Tempelmann, H. Heinze, A. Rodríguez-Fornellsi, T. Noesselt, The Role of Reward in Word Learning and Its Implications for Language Acquisition, Current Biology, Volume 24, Issue 21, p2606–2611, 3 November 2014 http://www.cell.com/current-biology/abstract/S0960-9822(14)01207-X (G3.3)
  4. James Hamblin, Health Tip: Find Purpose in Life, theatlantic.com, Nov. 3 2014,  http://www.theatlantic.com/health/archive/2014/11/live-on-purpose/382252/ (G3.4)